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psnet.ahrq.gov/issue/plan-would-compile-analyze-medical-errors
December 07, 2005 - Newspaper/Magazine Article
Plan would compile, analyze medical errors.
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August 3, 2005
This article presents the newly passed Patient Safety and Qu…
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ecareplan.ahrq.gov/collaborate/plugins/viewsource/viewpagesrc.action?pageId=29589531
September 14, 2020 - The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the Agency for Healthcare Research and Quality (AHRQ) would like to thank the Contract Monitoring Board (CMB) members for their valuable time and insight. The CMB meets yearly to assess the direction of the Multiple Chronic Conditions eCar…
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cmext.ahrq.gov/confluence/plugins/viewsource/viewpagesrc.action?pageId=109248863
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the Agency for Healthcare Research and Quality (AHRQ) would like to thank the Contract Monitoring Board (CMB) members for their valuable time and insight. The CMB meets yearly to assess the direction of the Multiple Chronic Conditions eCar…
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pbrn.ahrq.gov/patient-safety/resources/sheridan-video/index.html
December 01, 2017 - SHARE:
More topics in this section
Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Quality Measures
Reports
Engaging Patients and Families
About AHRQ's Quality & Patient Safety Work
Patie…
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pcmh.ahrq.gov/patient-safety/resources/sheridan-video/index.html
December 01, 2017 - SHARE:
More topics in this section
Patient Safety
Patient Safety Research Summaries
Patient Safety Resources by Setting
Quality Measures
Reports
Engaging Patients and Families
About AHRQ's Quality & Patient Safety Work
Patie…
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www.ahrq.gov/evidencenow/tools/decision-support.html
November 01, 2018 - Integrating Decision Aids into Primary Care: Toolkit
Resource: Decision Support Toolkit for Primary Care
Patient decision aids are tools for sharing evidence about treatment and screening options and helping patients clarify their values. This toolkit outlines seven steps for implementing a patient decision-…
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effectivehealthcare.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_introduction.pdf
April 19, 2012 - Slide 1
Community Forum Community Forum
Agency for Healthcare Research and Quality
Community Forum
April 19, 2012
Using Deliberative Methods
to Engage the Public:
How to design and implement an effective
deliberative session
Community Forum Community Forum Community Forum
2
Purpose
…
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pso.ahrq.gov/pso/alliance-dedicated-cancer-centers-patient-safety-organization
June 14, 2022 - SHARE:
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Alliance of Dedicated Cancer Centers Patient Safety Organization
PSO Number: P0240 Components of Parent Org(s):
Alliance of Dedicated Ca…
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digital.ahrq.gov/program-overview/our-experts/maria-michaels-mba-pmp
January 01, 2023 - Maria Michaels, M.B.A., PMP
Maria Michaels, M.B.A, PMP is a Special Expert for Digital Health in the Division of Digital Healthcare Research (DHR) in the Center for Evidence and Practice Improvement (CEPI) at the Agency for Healthcare Research and Quality (AHRQ), using technology to transform data i…
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digital.ahrq.gov/program-overview/our-experts/roland-gamache-phd-mba-famia
January 01, 2023 - Roland Gamache, Ph.D., M.B.A., FAMIA
Roland Gamache, Ph.D., M.B.A., FAMIA is a Staff Fellow for the Division of Digital Healthcare Research in the Center for Evidence and Practice Improvement at the Agency for Healthcare Research and Quality. His areas of focus include the effective use of informati…
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effectivehealthcare-admin.ahrq.gov/sites/default/files/cf_deliberativemethodswebinar_introduction.pdf
April 19, 2012 - Slide 1
Community Forum Community Forum
Agency for Healthcare Research and Quality
Community Forum
April 19, 2012
Using Deliberative Methods
to Engage the Public:
How to design and implement an effective
deliberative session
Community Forum Community Forum Community Forum
2
Purpose
…
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psnet.ahrq.gov/node/60688/psn-pdf
July 15, 2020 - The COVID-19 pandemic: resilient organisational
response to a low-chance, high-impact event.
July 15, 2020
Lloyd-Smith MK. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact
event. BMJ Leader. 2020;4:109-112. doi:10.1136/leader-2020-000245.
https://psnet.ahrq.gov/issue/covid-19-p…
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psnet.ahrq.gov/node/840169/psn-pdf
November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce
drug name confusion.
November 16, 2022
Institute for Safe Medication Practices.
https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion
Mixed case letters are one suggested strategy to reduce look-alike medication na…
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psnet.ahrq.gov/node/44674/psn-pdf
December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care
at Baylor Scott & White Health.
December 18, 2017
Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390.
https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health
Since the publication of the Inst…
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www.ahrq.gov/evidencenow/tools/diy-run-chart.html
July 01, 2022 - Do It Yourself Run Chart for Primary Care Practices
Resource: Do It Yourself Run Chart (XLSX, 86 KB)
Primary care practices can use this Excel spreadsheet to create run charts to track their progress in quality improvement. It includes instructions, an example of a diabetes measure, and a programmed blank s…
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www.ahrq.gov/antibiotic-use/acute-care/diagnosis/index.html
June 01, 2021 - Learn Best Practices for the Diagnosis and Treatment of Infectious Syndromes
For information on how the materials below can be integrated into institutional efforts to improve antibiotic use, please read the Toolkit Implementation Guide for Acute Care Antibiotic Stewardship Programs (PDF, 328 KB).
Each sy…
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psnet.ahrq.gov/node/836969/psn-pdf
April 20, 2022 - Criminalization of human error and a guilty verdict: a
travesty of justice that threatens patient safety.
April 20, 2022
ISMP Medication Safety Alert! Acute care edition. April 7, 2022; 27(2):1-6.
https://psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-
patient-safety…
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psnet.ahrq.gov/node/45043/psn-pdf
July 01, 2016 - Exclusion of residents from surgery-intensive care team
communication: a qualitative study.
July 1, 2016
Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team
Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j.jsurg.2016.02.002.
https://psnet.a…
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psnet.ahrq.gov/node/34727/psn-pdf
July 13, 2016 - Human Error in Medicine.
July 13, 2016
Bogner MSE, ed. Hillsdale, NJ: L. Erlbaum Associates; 1994. ISBN 9780805813852.
https://psnet.ahrq.gov/issue/human-error-medicine
This book, published well in advance of the Institute of Medicine report To Err is Human, includes chapters
by a number of leaders in their fields…
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psnet.ahrq.gov/node/47615/psn-pdf
January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician
Burnout.
January 30, 2019
Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health
and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute;
2019.
https://psnet.ahrq.g…